Organization
NEW BALANCE KANSAS CITY
Active
Parent organization
BROWN'S ENTERPRISES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROWN'S ENTERPRISES
Authorized official
JULIA HILES C.PED (CERTIFIED PEDORTHIST)
(913) 696-1646
Entity
Organization
Contact information
Practice address
6607 W 119TH ST, OVERLAND PARK, KS 66209-2020
(913) 696-1646
Mailing address
6607 W 119TH ST, OVERLAND PARK, KS 66209-2020
(913) 696-1646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
013370
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510770003
MEDICARE ID
KS
Enumeration date
10/18/2007
Last updated
10/18/2007
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